(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The patient is a 65-year-old female who presented to her primary care physician for routine annual examination. At that time, a large pelvic mass was palpated. The patient reported that her pants were fitting tighter but she was otherwise asymptomatic. She denied nausea, vomiting, early satiety, bowel or bladder dysfunction and gynecological symptoms.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
75 year-old male with past medical history significant for prostate cancer status-post radical prostatectomy 15 years ago, who presented with complaints of approximately diarrhea, dark urine, light stools, pruritus and 15 lb weight loss over the last month. He also admits to fevers and chills. He had a few episodes of abdominal cramps over the last couple weeks but denied persistent abdominal pain, nausea or vomiting. Laboratory tests demonstrated the following values: total bilirubin 10.3 mg/dl, direct bilirubin 6.9 mg/dl, ALT 121 IU/L, AST 64 IU/L, alkaline phosphatase 435 IU/L, amylase 57 IU/L and lipase 238 U/L. A CT scan of the abdomen and pelvis with contrast revealed a vague area of architectural distortion and perhaps diminished enhancement within the pancreatic head that measured between 1.5 to 2.0 cm. In addition, multiple clustered, slightly enlarged celiac-gastrohepatic ligament lymph nodes were identified together with a conglomerate peripancreatic nodal mass measures approximately 3.0 x 2.4 cm. Biliary dilatation with possible distal common bile duct stricture and dilatation of the gallbladder were also identified.
(This case study was added to OER Commons as one of a …
(This case study was added to OER Commons as one of a batch of over 700. It has relevant information which may include medical imagery, lab results, and history where relevant. A link to the final diagnosis can be found at the end of the case study for review. The first paragraph of the case study -- typically, but not always the clinical presentation -- is provided below.)
The neonate was the product of an uneventful 39-4/7 week pregnancy with normal delivery and adequate initial Apgar scores. Soon after birth, the neonate developed cyanosis, left side pneumothorax and lung parenchymal abnormalities with opacity on x-ray. He expired at 12 days of age in the setting of progressive respiratory failure, pulmonary hypertension, and finally acute kidney failure. An autopsy revealed normal cardiac anatomy.
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